Maternity & obstetric nursing worksheet with answers

Free printable Maternity & obstetric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Which of these is one of the "5 Ps" of labour?

  1. APlacenta praevia
  2. BPassageway
  3. CPressure
  4. DPulse
2.Easy

Late decelerations of the fetal heart rate are caused by:

  1. AUteroplacental insufficiency
  2. BMaternal anxiety
  3. CCompression of the fetal head
  4. DFetal movement
3.Easy

Which type of vaccine is generally avoided during pregnancy?

  1. AInactivated influenza vaccines
  2. BLive attenuated vaccines, such as MMR
  3. CTetanus toxoid vaccines
  4. DVaccines against whooping cough
4.Medium

Which is the correct order of the first cardinal movements of labour?

  1. ADescent, extension, engagement, flexion, internal rotation
  2. BFlexion, engagement, extension, descent, internal rotation
  3. CEngagement, descent, flexion, internal rotation, extension
  4. DInternal rotation, engagement, descent, extension, flexion
5.Medium

A labouring woman's tracing shows variable decelerations. Which action should the nurse take first?

  1. AChange the woman's position
  2. BPlace her flat on her back
  3. CIncrease the oxytocin infusion
  4. DStart pushing efforts straight away
6.Medium

A woman with a normal pre-pregnancy BMI asks how much weight she should gain. Which range do the widely used US Institute of Medicine guidelines recommend?

  1. AAbout 2 to 4 kg
  2. BAbout 11.5 to 16 kg
  3. CAbout 5 to 9 kg
  4. DAbout 18 to 23 kg
7.Hard

A woman has just been diagnosed with gestational diabetes at 26 weeks. What is the usual first step in management?

  1. AStart insulin or an oral sulfonylurea straight away for every woman, whatever her blood glucose readings show
  2. BNo follow-up is needed until after birth
  3. CNutrition advice, physical activity and blood glucose monitoring, with medication if targets are not met
  4. DStop eating all carbohydrates
8.Hard

At 7 weeks of pregnancy, a woman reports sudden severe pain on one side of the lower abdomen, pain in the shoulder tip and dizziness. What should the nurse suspect?

  1. ABraxton Hicks contractions
  2. BHyperemesis gravidarum
  3. CNormal round ligament pain caused by the growing uterus
  4. DA ruptured ectopic pregnancy with internal bleeding

Answer key

  1. 1. B · Passageway
  2. 2. A · Uteroplacental insufficiency
  3. 3. B · Live attenuated vaccines, such as MMR
  4. 4. C · Engagement, descent, flexion, internal rotation, extension
  5. 5. A · Change the woman's position
  6. 6. B · About 11.5 to 16 kg
  7. 7. C · Nutrition advice, physical activity and blood glucose monitoring, with medication if targets are not met
  8. 8. D · A ruptured ectopic pregnancy with internal bleeding

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